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Individual

CAROLINE GRACE GONIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9600 NUMBER 5 SCHOOL RD NW, ASH, NC 28420-2122
(910) 287-6007
Mailing address
1817 BROOK PARK PL, CONWAY, SC 29526-6682
(804) 837-4548

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18628
NC

Other

Enumeration date
07/20/2026
Last updated
07/20/2026
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